Abstract

ROBAINA CASTELLANOS, Gerardo; RIESGO RODRIGUEZ, Solangel  and  TRISTA RICARDO, Esther. Syndrome of Fetus-fetal transfusion with a single ectopic kidney in a twin donor. Case presentation. Medisur [online]. 2016, vol.14, n.5, pp. 555-560. ISSN 1727-897X.

The Syndrome of Fetus-fetal transfusion presents more frequently in dynamitic monochromic twins. In advanced stages and without prenatal intervention, is associated to high rates of peri natal mortality and neurological sequel in the survivors. It is presented a case of a pair of twins with severe depression at birth in which it was diagnosed a Syndrome of Fetus-fetal, later confirmed with the presence of anemia in the donor twin and polycythemia in the receptor twin. Both twins had an unfavourable evolution with an early neonatal death. Necropsy findings were comparable with secondary damage to the syndrome, with the particularity that both had evidences of pulmonary infection and a renal malformation in the donor twin which is not included in the proper malformations of this syndrome. The objective of this work is to point out the essential elements for the diagnosis and antenatal treatment for this disease through the peculiarities of the presented case.

Keywords : fetofetal transfusion; pregnancy, twin; anemia, neonatal; polycythemia; infant, newborn; infant, newborn, diseases; congenital abnormalities.

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